My mother was taking metformin gliclazide and pioglitazone triple drug combination since many years. Simultaneously she was also taking nebivolol and hydrochlorothiazide combination. So there is no edema developed due to pioglitazone because of hydrochlorothiazide medicine is running.
But 6 months ago endocrinologist has changed medicine from nebi H to Nebi .
Then my mother has developed swelling and edema in legs.
Creatinine is normal
Echo is normal
Venous doplar both legs are normal
Ddimer is normal
Tsh is normal
Hb1ac 6.7
So he changed treatment like below
Pioglitazone is stopped and metformin and gliclazide is continue and sitagliptin is added.
Nebivolol is stopped and chlorthalidone 6.5 mg is added.
Today we have done CXR
It's showing bilateral prominent bronchovascular markings
Do we need to worry sir
Because there are few cases reported that pioglitazone can cause pulmonary edema.
Prominent bronchovascular markings is due to pulmonary edema?
do we need to any further test ?